Surgery Book

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Transparent Film DressingAka: Transparent Adhesive Dressing, Polyurethane Dressing, Biocclusive, Op-Site Flexigrid, Tegaderm, Acu-Derm, Polyskin, Blisterfilm

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  1. See Also
    1. Hydrocolloid Dressing
  2. Category
    1. Occlusive Dressing
  3. Characteristics
    1. Semipermeable
      1. Allows gaseous and oxygen exchange
      2. Retains exudate to create moist environment
    2. Adhesive
    3. Moisture retentive
  4. Indications
    1. Non-exudative wounds
    2. Autolytic Debridement
    3. Type 1 to 3 Pressure Sores
    4. Secure other Wound Dressings
    5. Protect vulnerable areas from friction injury
      1. Elbows
      2. Heels
      3. Coccyx
      4. Skin tear
  5. Contraindications
    1. Absolute
      1. Cavity wounds
      2. Wounds with sinus tracts, undermining or tunneling
    2. Relative
      1. Infected Wounds (especially anaerobic)
      2. Wounds with excessive exudate
        1. Unless combined with foam, gauze, or hydrogel
  6. Technique
    1. Change dressing every 3 to 7 days
    2. Check dressing daily (transparent)
    3. Consider protecting skin edge from maceration
      1. Stomal adhesive wafer
      2. Vaseline
      3. Zinc oxide
  7. Advantages
    1. Requires less care than traditional dressing (gauze)
    2. Conformable
    3. Water resistant
    4. Wound visualized without dressing removal
    5. Protects against secondary infection
  8. Disadvantages
    1. Expensive
    2. Maceration of peri-wound edges
    3. Too frequent dressing changes may strip skin
    4. No absorptive capacity
    5. Difficult to apply
    6. No data showing efficacy in Pressure Ulcers
  9. References
    1. Bello (2000) JAMA 283(6):716
    2. Degreef (1998) Dermatol Clin 16(2):365
    3. Findlay (1996) Am Fam Physician 54(5):1519
    4. Habif (1996) Clinical Derm, Mosby, p. 810-13
    5. Knapp (1999) Pediatr Clin North Am 46(6):1201
    6. Krasner (1995) Prevention Management Pressure Ulcers
    7. Lewis (1996) Med-Surg Nursing, Mosby, p. 199-200
    8. Lueckenotte (1996) Gerontologic Nurs., Mosby, p. 800-7
    9. PUGP (1995) Am Fam Physician 51(5):1207
    10. PUGP (1994) Pressure Ulcer Treatment, AHCPR 95-0653
    11. Way (1991) Current Surgical, Lange, p.95-108

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